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Not yet recruitingNCT06717945Updated Dec 5, 2024

The Efficacy and Safety of Remimazolam Besylate for Cardiac Anesthesia

An Early Phase 1 interventional study of remimazolam besylate and propofol in Anesthesia, sponsored by Chinese Academy of Medical Sciences, Fuwai Hospital. Not yet recruiting. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-12-05.

Sponsored by Chinese Academy of Medical Sciences, Fuwai Hospital · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2025, 1 year 5 months ago, but the record still lists the study as not yet recruiting.
Phase
Early Phase 1
Study type
Interventional
Enrollment
320
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

The evidence on the practice of remimazolam besylate during cardiac anesthesia is scarce. This study investigates the efficacy and safety of remimazolam besylate general induction and maintenance during cardiac surgery.

Read the detailed description

Remimazolam besylate (RB), as a new benzodiazepine sedative agent, has been approved in clinical anesthesia with prominent characteristics of short onset/offset, less depression for cardiovascular or respiratory function and specific antagonist. Some studies have confirmed the comparable anesthesia efficacy of remimazolam for outpatient digestive endoscopy, fiberoptic bronchoscopy, facial plastic and orthopedic surgery as propofol. Currently, the evidence on its application in cardiac anesthesia is insufficient. Our study aims to evaluate the efficacy of remimazolam besylate and propofol and provide an ideal anesthetic agent to achieve the goal of early recovery after cardiac surgery.

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Conditions studied

  • Anesthesia
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In context

Lead sponsor

Chinese Academy of Medical Sciences, Fuwai Hospital is the lead sponsor of 146 studies on the registry; 50 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Elective cardiac surgery via cardiopulmonary bypass;
  2. Aged 18-65 years;
  3. American Society of Anesthesiologists (ASA) grade I-III;
  4. Body mass index (BMI) 18-28 kg/m2.

Exclusion criteria

Exclusion Criteria:

  1. A history of sternotomy for heart disease;
  2. Angina or arrhythmia with severe dynamics flutters pre-operation;
  3. Respiratory, hepatic or renal dysfunction (oxygenation index\<300, alanine transaminase> 2 upper limits of normal value, creatinine > 200 μmol/L);
  4. Diagnosed with advanced tumors;
  5. Psychiatric or mental disorders;
  6. Myasthenia gravis or seizures;
  7. Pregnant or lactating females;
  8. A history of benzodiazepines administration within 3 months before surgery;
  9. Known allergic to benzodiazepines, opioids, propofol and flumazenil;
  10. Involved in another interventional clinical trial.
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Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
320 participants (estimated)

Study arms

  • Experimental
    remimazolam besylate

    Patients received an initial dose of remimazolam (0.3mg/kg) for induction and a continuous infusion rate of 1 mg/kg/h for anesthesia maintenance.

    Drug: remimazolam besylate

  • Active comparator
    propofol

    Patients received an initial dose of propofol (1.0 mg/kg) and a continuous infusion rate of 1-1.5 mg/kg/h

    Drug: propofol

Interventions

  • Patients received an initial dose of remimazolam (0.3mg/kg) for induction and a continuous infusion rate of 1 mg/kg/h for anesthesia maintenance. Sedative was adjusted to maintain a bispectral index (BIS) at 40-60 after induction.

  • Patients received an initial dose of propofol (1.0 mg/kg) and a continuous infusion rate of 1-1.5 mg/kg/h. Sedative was adjusted to maintain a bispectral index (BIS) at 40-60 after induction.

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What researchers measure

Primary outcomes

  1. ratio of successful sedation during the whole surgery

    Sedation success is defined as BIS locating in the range of 40-60 according to the required dosage without additional rescue sedative during the surgical procedures.

    Time frame: Intraoperative period

Secondary outcomes

  1. time interval for BIS from baseline before induction to 60

    Time frame: Intraoperative period

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06717945
Responsible party
SHI Jia (director of department of Anesthesiology, Chinese Academy of Medical Sciences, Fuwai Hospital) — Principal investigator
First posted
Dec 5, 2024
Start date
Jan 2025 (estimated)
Primary completion
May 2025 (estimated)
Completion
Jun 2025 (estimated)
Last update
Dec 5, 2024

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Remimazolam besilate

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